Infertility

+ Mrs. Jeanne Korby +

Mother’s Day 2009 was particularly gruesome. I was living in that tortured season of hope that is a barren woman’s early thirties, and every month brought a fresh wave of pain, guilt, anger, and confusion. Mother’s Day was a fat, juicy lemon whose acid was being mercilessly squeezed into my open wound.

To make matters worse, I was without my husband that day. I can’t remember why – perhaps he was guest preaching out of town or on some seminary trip – but I walked into the church all by my lonesome that morning.

I had to walk past the table where corsages were being handed out to mothers in the congregation. The dreaded walk of shame. My cheeks burned red with humiliation.

A be-flowered friend stepped up to me in the narthex. She fingered her corsage while she spoke. I can’t remember what she said, but I remember the tightness in my throat as I willed the tears not to spill. If I could just make it into the church. Someone special was waiting for me there.

I slid onto a cold pew in the side wing of the nave. Next to the wheelchair.

“You can be my daughter today, and I’ll be your mother.”

“Thank you, Jeanne,” I whispered, the tears falling freely, now. I didn’t need to hide them from Jeanne. She already knew. Still, I wiped at them, not wanting anyone else to know.

We sat by each other through the whole service. I probably even leaned on her, she with the fragile back and weak cartilage. She was always stronger than she looked.

We took and ate the Body and Blood of our Lord together in the side chapel reserved for those who have trouble making it up to the altar. As we knelt at the rail, I whispered in her ear, “Jeanne, what do you think about when you take the Lord’s Supper?”

She didn’t balk at my imprudence. She and I always talked like this. Forthright. Familiar. Honest.

“I think,” she whispered back, “‘Lord, I am a sinner. Give me all.'”

Thank you, Jeanne, for being a mother to me in my grief, for mentoring me as a pastor’s wife, and for teaching me the prayer I still pray at the altar today. I rejoice in knowing that Christ Jesus has, indeed, given you all. I wait with you for the resurrection day, dear friend. +

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Shepherds Who Point Us to the Lamb

There is no better time to talk about suffering than Good Friday, and our church body is blessed to have so many learned, compassionate, and insightful shepherds who know that the life of the Christian is one of taking up our crosses and following Christ, the Lamb of God, who takes away the sin of the world. Take some time this weekend to watch, listen, and read the following as we focus on the suffering and death of our Lord:

Rev. Bryan Wolfmueller’s comments on Issues, Etc. about Sanctification and Suffering

Synodical President Rev. Dr. Matthew Harrison’s video, “Suffering is Purposeful through Repentance”

and Rev. Dr. Gifford Grobien’s comments specifically to you, the barren:

When couples experience barrenness, with Job we should want to worship God and to say, “The LORD gave, and the LORD has taken away; blessed be the name of the LORD” (Job 1:21). But in the midst of the devil’s temptations such faithful action and confession seem out of reach. We are distraught. There really isn’t any reason we can hear that will ease the questioning and the sadness. Once again, suffering has overshadowed the way things ought to be. Suffering overtakes even the faithful person. The cross looms and gives no reason.

Instead, the cross calls the church faithfully to follow. Faithfully. That is, even without seeing. Even without perceiving or understanding. The cross beckons us to see suffering and to see deliverance through suffering. It does not explain suffering; but it promises deliverance from suffering. More than this, the cross of Jesus Christ promises deliverance through suffering to fellowship with the one who suffered ultimately. The church is a fellowship of suffering; a fellowship with the passionate One; a fellowship with God of the universe who nevertheless stooped to suffer not just with you, but for you.

Suffering, by its very nature, takes time. We, on the one hand, desire immediate results. We have our food through the drive-through, our information at the touch of a screen, our friends at the click of a mouse. Even our sins are forgiven in a moment, at the Word of absolution. That much is true. Yet suffering connotes experience. It implies time. Deliverance comes after a time of suffering, and this time is not in vain. During this time we are sanctified. We grow in the love of God through the Spirit of God. We are sustained by this same Spirit through God’s indomitable gifts, so that no temptation overtakes us that is beyond our ability. God is faithful, and with the temptation he will also provide the way of escape.

Escape. Deliverance. God provides the way of deliverance from suffering. He conforms us to the cross so that we would die and live in Christ. God delivers from infertility. It takes time. It may take a lifetime. But there is deliverance in the cross.

One of the ways to endure suffering as we await deliverance is to hear God’s Word and to pray. When we pray the Psalms we do both. God knows what it is to suffer, for He gives us psalms to pray even in suffering–psalms of lament. Thus we pray the psalms of lament. Psalm 13: “How long, O LORD? Will you forget me forever?” Psalm 59: “For the cursing and lies that [my enemies] utter, consume them in wrath; consume them till they are no more, that they may know that God rules.”

Pray these psalms, knowing that the enemy spoken of is the devil, the tempter overcome by suffering. He is overcome by Christ’s suffering, indeed, but it is true that Satan is overcome in his work in our lives when we persevere through suffering. When we are afflicted, the root temptation is to curse God and turn away in unbelief. God is all powerful, so our affliction must be his fault! That is the temptation of Satan. That is the theology of glory. So, when we persevere in faith, in spite of affliction, the work of the devil in our particular circumstances is also overcome through the power of the Spirit in the Word.

It Should Have Been Me

“Did you hear? Alyssa is pregnant!”

“Guess what. My neighbor is expecting twins!”

“Has anybody told you? The Greenbergs are adopting!”

I’m certain we have all been privy to such conversations. In those moments, I have done my best to show genuine excitement for the couple. However, I am falling apart on the inside. That good news should be mine. I should be buying maternity clothing. I should be shopping for a double-stroller. I’ve been eating well, exercising faithfully, attending church on a regular basis. We submitted all of our paperwork to the adoption agency. Birthmothers should be choosing my spouse and me to adopt her child.

If left up to us, our wishes would be fulfilled. The pregnancy test would be positive. The twins would have matching cribs. The adoption process would be smooth as silk. It should be me! I should be the one shouting out such good news. But, no, I’m on the receiving end of good baby news once again.

There’s something else that should have happened to me. I should have been the one who was scourged, spit upon, mocked, pierced, and crucified. Yes, I’m the sinner who has broken every single one of the Ten Commandments. It really should be me who’s dead. I really don’t deserve any of the goodness that has been bestowed upon me, for I am a conceited, selfish sinner, who deserves death.

Thanks be to God that He gave His Son to take that punishment for me. Jesus Christ endured the scorn, the pain, and even the death you and I deserved. During this Holy Week, I humbly bow before the Lord God and thank Him for taking away the death that should have been mine.

Ouch

I admit that I neglect the topic of physical pain on this site. It is a selfish decision on my part. I don’t like to dwell on it. Physical pain simply is, and I can’t do a whole lot about it. It is something to be managed and endured for the long run, and I am the queen of self-numbing when it comes to long runs. Deep breath, chin up, eyes ahead, slow and steady.

However, I do not mean to neglect or ignore your own physical pain, dear reader. I know you are weary. I know you have to stay home two days a month from your job because of the searing pain. I know your menses are more than inconvenient; they are debilitating and socially impossible. I know you can neither stand nor sit nor lie down when the pain hits, and I know you vomit and writhe and pass out from the experience. I know the injections, therapies, surgeries, and crazy dietary restrictions are giant feet kicking your already dead horse. I know you shake your head at heaven every time a cyst bursts and ask “Really, Lord? Isn’t my childlessness alone already painful enough?”

Yet, physical pain is a symptom, not the root, of the problem of barrenness. Sin is the culprit which leaves our bodies twisted in pain, and only Christ’s atonement for that Sin will do. His blessed exchange on the cross, His loving sacrifice of Himself for the Sin of the world, is the reason we have hope in the midst of our pain. For, we know that our Redeemer did not stay dead but lives, and though fibroids and cysts and scar tissue and cancer and worms may destroy our bodies, yet in our flesh will we see God.

So, by all means, consult your doctors, your naturopaths, and your pharmacists for help in managing your physical pain, for they are God’s good gifts to us in this life; but, when the pain cannot be managed and simply must be endured, remember your suffering Savior on the cross and cry out, “Lord, have mercy!” and know that He does.

A Mother of Mothers

You’ve probably noticed by now that I rarely blog about the specifics of my vocations in life. It’s not because I don’t have them, and it’s not because I don’t rejoice in them. It’s simply that I am wary of suggesting that your barren life should look anything like mine. God gives each of us different neighbors to serve in life, and there is no sense in comparing.

(That, and the temptation to over-define God-given vocation as purpose can be too overwhelming.)

Yet, there are moments when my joy in my barrenness is such that I have trouble not waxing on all things vocational with you, so if you would indulge me for a few sentences…

Do you know what I love about being barren? I get to be a mother of mothers. God keeps putting more and more of them in my life. These beautiful, hard-working, self-sacrificing, sleepless women keep showing up on my humble path, and I get to serve them. I get to listen to them, nurture them, encourage them, comfort them, cook for them, clothe them, offer them hospitality, render them retreats, take them out for dinner, sing with them, dry their tears, watch their children, do their laundry, clean their bathrooms and floors, invite them over for coffee or tea, play with them, and commend them to my Father in Heaven in prayer.

What a beautiful thing it is to be barren of children but a mother of mothers!

The Purpose Driven Barren Life

pur-pose
noun
1. the reason for which something is done or created or for which something exists

We are obsessed with purpose these days. We seek purpose in everything we do to give our very lives meaning. It comforts us, even puffs us up.

We even seek purpose in the things that happen to us. Take barrenness. If we can determine some reason as to why God is making us barren, then our suffering suddenly has a meaning, an objective, maybe even merit. If there is a purpose to our barrenness, then we are somehow elevated from miserable victim to blessed martyr. We suddenly have a life worthy of the interest of Oprah, Joel Osteen, and Rick Warren, and the prominence of this self-ascribed, higher purpose makes our wretched barrenness not sting so much.

But barrenness should sting. It is a result of Sin in the world, a devolution of the way God created things to be, and no amount of purpose changes that terrible truth.

The danger in trying to assign a particular purpose to our barrenness is that we are actually attempting to define the hidden will of God. We are trying to explain something that has not been explained to us in Holy Writ. We are trying to reveal that which has not been clearly revealed, and we should be wary of putting our hope, trust, and comfort in something that God has not made known to us in His Word. For, most likely, that self-assigned purpose will fail us in the face of the devil, Sin, and our flesh.

This is why it pains me so much when other people try assigning purpose to my own barren state:

“God made you barren so that you could write a book to help other people.”

“God made you barren so that you can be a better mother to all of the youth in your church.”

“God made you barren so that you will have more compassion for orphans and embryos.”

“God made you barren so that you will better appreciate having children when He gives them to you.”

Is any of this true? I certainly don’t know, because God has not revealed any of this to me in His Word, and, I suspect, neither has He revealed it to you.

Then, what true purpose is there in my barrenness? Outside of knowing that my womb is unfruitful because of Sin in the world and that God is allowing my womb to stay unfruitful, I don’t know from God’s Word why I am barren.

Here’s what I do know from God’s Word: Whatever purpose my barrenness serves, God is working it for the good of me and my neighbor; and, because God’s good grace is sufficient for me, I am free to serve the neighbors He has given me in abundance. Yes, that even includes the youth in my church, orphans, embryos, and you.

But, dear church, that is my vocation, not my purpose. Let’s not confuse the two.

What You’ve Always Wondered But Were Afraid to Ask

WARNING: The following post contains information of a “delicate” nature. We hate to be considered an explicit blog, but sometimes you have to talk about the topics that no one else will. Many thanks to our guest responder, Rev. Dr. Gifford Grobien, assistant professor of systematic theology at Concordia Theological Seminary, Fort Wayne, Ind., for being willing to address such a sensitive topic from a pastoral perspective.

Question submitted: My doctor says that in order to find out the cause of our infertility, my husband should really be tested as well. I guess this requires that he submit a sample of sperm. To my knowledge, this is typically collected outside of intercourse. Although I have heard that there are special prophylactics that could be used to collect it during intercourse but I have no idea where one would obtain these. I know of several other couples where the husband has been tested, but now that we’re in this situation and I have to think about how this is really done, I’m wondering if it’s really OK to do. I know that our end goal is good, and that we’re just trying to give the doctor as much information as he can so he can help us, but something just doesn’t feel right about what he has to do in order to get this sample. Any advice?

This is one of those questions that is extremely difficult both emotionally and morally. Emotionally, certainly, because of the good desire of the husband and wife for children. When this good desire is not fulfilled, a couple may feel shame, guilt, inadequacy or other difficult emotions. They may wonder what they have done wrong that they are unable to have children; if they pray long enough that God will end their infertility. Or they may develop hollow, cynical or withdrawn perspectives, with few or no companions to console and be with them.

The question is also difficult morally. It is easy to look at the goal of taking a sperm sample as being good–to try to have a child; to try to be fruitful. But goals are never isolated from action. The ends in themselves don’t justify the means because the means are not merely instrumental. Action is not merely instrumental. Action engages mind and body. Action commits a subject to a certain way of being, even if just for the moment of the action. Action familiarizes a mind and body with the action, so that the action becomes more familiar and easier. Action, even just once, is habit-forming. This is why we always learn through practice, even a one-time run-through. Reading something even once before presenting it publicly establishes comfort and familiarity. Taking a practice test does the same. Swinging the bat or shooting the basketball or walking through the steps of a recipe with the ingredients in front of you focus your mind and clarify the context. Action is inherently habit-forming.

So, should we encourage the act of masturbation, even if just once? Is masturbation as an act value-neutral? What about using a condom in marital intercourse? Is this better? Any kind of sexual climax outside of uncontracepted marital intercourse inherently separates the pleasure of the act from the sexual union of a husband and wife. Sexual intercourse means the use of the sexual organs, which is to ejaculate for the purpose of procreation. This is the basic meaning and purpose of sexuality and sexual organs. Sexual pleasure that is divorced from truly sexual (procreative-seeking) union separates two parts of an act that in creation were intended to remain together. Separating pleasure from marital, sexual union introduces a tolerance, an acceptability, a familiarity, a level of comfort with non-procreative sexual stimulation, whether with contraception, or as masturbation or sodomy.

In marital sexual relations the exciting and mysterious integrity of pleasure and procreation remain intact. With each union there is the pleasure combined with the joyous wonder and hope that this might bring forth a new creation. Even those who are scientifically sterile cannot deny that God may choose–in this act–to give life. Even those who are past childbearing age, by maintaining the physical integrity of the act, confess faithfulness to God’s design. They do not denigrate the act by turning it into mere pleasure, but they uphold that in this particular way of giving pleasure to each other, they conform to God’s design for bringing forth a new life, for deepening their own love beyond themselves, to embracing the love of children. They also bring to remembrance for themselves the joyous hope of years past, and excite in themselves an analogous kind of hope–perhaps not for themselves at that moment, but in thanksgiving for what God has given them, or in the joyous hope of life that God brings forth in others. Most basically, the act still submits to the created way of being.

How much more, then, for those who are of childbearing age, whether seemingly sterile or fruitful. The physical excitement and pleasure of sexual climax, because of its intensity, when separated from the possibility of procreation, is selfish. Physical pleasure is not wrong, of course, but God purposely brings it about in an act that is inherently selfless–the expectation of a third person and the expansion of love for that person. When the divinely designed integrity between pleasure and procreation is broken by human action, the outward-oriented aspect of the act is lost, so that only the inward-oriented aspect remains.

Is there no option for testing sperm of an infertile couple? Yes, if there is a way to do it without breaking the integrity of marital sexual relations. There is this possibility: either percutaneous epididymal sperm aspiration (PESA), or microsurgical epididymal sperm aspiration (MESA). The former uses a needle to collect sperm, while the latter is a minor surgical procedure to collect sperm. It appears that medical providers do not typically think of using these procedures unless a man’s vas deferens is blocked or deficient in some way. It’s also possible that health insurance would not cover them if there is no problem with the vas deferens. Nevertheless, it may be an option for those persistent in requesting it and who meet other medical criteria.

Rev. Dr. Gifford Grobien

How Long Do I Wait?

Question Submitted: How long does one wait? Every month brings disappointment. Then the thought, maybe next month will be the one. How do you decide to take the plunge and go see your doctor? I have three children. I am ashamed to be asking. I feel like I shouldn’t be so disappointed, but yet, it is like someone is missing from our family. My youngest is over 3 and a half. I saw my doctor a year ago and she thought I was under a lot of stress from moving and hadn’t been consistently “trying” long enough. They did basic blood work and some ultrasounds. Nothing was wrong. She mentioned the word endometriosis, but said the only way to know would be invasive procedure. But, now, I’ve given it that year of documented trying and expensive ovulation and pregnancy tests. I know I ought to be content. But, who is there to share my sorrow with? It is indescribable and I feel selfish and ungrateful. I have not miscarried. I am not barren. I love my kids. I ought to be thankful, and I am…but not enough. I cringe when people now talk to me assuming that I am “done” with having children, as if it is a decision I made. To some in the world they think it is good. Others look at me with their 5 or 6 children and continuous talk about having a quiverfull, and think that I must be “worldly.” I am guilty of having said I “want as many as the Lord gives me,” and yet it is not true. Why is it so hard to accept if I have no more? And when is it not wrong to seek medical help? The doctor said to come back after 6 months, but I haven’t been able to do it yet. I keep hoping maybe next month. Trust the Lord.

My dear sister in Christ, it is so hard to accept the number of children you have now, because children are a blessing from God; and whenever we are not given that blessing, we see all too clearly the Sin which leaves the world and our wombs broken. We know that God created the one-flesh union in marriage to be fruitful, and it hurts and is terrifying whenever our marriage ceases to bear such blessed fruit.

As if our own pain and fear are not enough, Satan and his minions taunt and tease our consciences, trying to make us believe our childlessness is God’s punishment for that Sin. They want nothing more than for us to doubt God’s goodness and mercy toward sinners, toward us. They want us to believe that Christ’s sacrifice was not enough for us, that our childlessness is a needed penance for full atonement. They want us to believe in our own works for salvation, not in the all-saving work of Christ on the cross.

Lord, have mercy and deliver us from doubt and unbelief!

Here is the truth found in God’s Word: “There is now no condemnation for those who are in Christ Jesus…For we know that the whole creation has been groaning together in the pains of childbirth until now. And not only the creation, but we ourselves, who have the firstfruits of the Spirit, groan inwardly as we wait eagerly for adoption as sons, the redemption of our bodies. For in this hope we were saved. Now hope that is seen is not hope. For who hopes for what he sees? But if we hope for what we do not see, we wait for it with patience.” (Romans 8:1, 22-24 [ESV]) We know with assurance that the fruit of our womb is no reflection of our relationship with God in Christ Jesus. It is simply a manifestation of the world’s brokenness as it waits for the Resurrection Day.

You ask me how to decide to take the plunge and go see a doctor? Talk to your husband, your pastor, your trusted loved ones and ask yourself this question: Why do you want to see a doctor? Do you seek relief from an ailment which causes your health to suffer? Do you seek an answer to the puzzle that is your fertility? Do you desire closure after months, even years, of trying to get pregnant? I believe these are all healthy motivations for seeking medical attention, because they simply seek a conclusion and physical relief. These motivations do not require a certain outcome of God, confusing the line between Creator and creation. These motivations keep you in a position to receive gifts from God, whatever those gifts may be.

Remember that it is not wrong to seek medical help for infertility. Healing medicine is part of the daily bread God provides for us, and it is good and right to try to make the body whole. We are free in Christ to undergo diagnostic tests, receive treatments, have surgeries, take medications, and receive help from a doctor for the healing purposes of our flesh. We just need to remember that our freedom in Christ is intended by God to serve our neighbor, not ourselves, so be discerning. There are some forms of infertility medicine that cease to be healing medicine because they potentially hurt or harm our neighbor (our husband and the very children we want to conceive) and thereby break the Fifth Commandment of our Lord. Also, guard yourself against the temptation to serve your own desire for a child when it means trusting the words of your doctor over the Word of God. We break the First Commandment of our Lord when we dethrone Him, the True Creator, in our hearts and replace Him with a make-shift god constructed of our own wishes and desires.

My personal advice? You’ve been waiting a long time, and your heart is aching with the unknown. Go. See your doctor. Find out what you in good conscience can, and be at peace, trusting that God is working everything for your good. And know that you are not alone in the body of Christ, sister.

Now, a quick word to that body of Christ:

We are so cruel to each other in the church. The woman with too many children is judged by others to be an unconscionable rabbit, the woman with too few children gets labeled a personification of the Enlightenment, and the woman with no children is hailed as a contracepting Machiavel.

No doubt, there are women in all three of these categories whose number of children is self-determined by an obedience to some damning, worldly Law, but let’s be good Lutherans and put the best construction on everything. Let’s look at the number of children a woman has been given and rejoice at God’s goodness to her in both His blessing and His withholding. Let’s not judge each other behind hands in whispered gossip but, instead, encourage each other openly by proclaiming the truth in love: God in His wisdom and mercy both gives and doesn’t give the gift of children. Praise be to God!

Mama Bear

I know you’re afraid. I am, too.

We’re going against natural instinct, you and me. We know we’re not supposed to step in between a mama bear and her cub, but that’s exactly what we’re doing when we speak out against infertility medicine which breaks commandments of the LORD. We are stepping in between a mother and the children to which she feels entitled.

And a mama bear’s roar is terrifying.

Yet, we step in, nonetheless, because all children are loved and wanted by God, not just by mama bears. Every child’s value is best seen and understood at the foot of the cross on which Christ’s bloody sacrifice was laid out for them. We love these children, because God loves them; and we don’t want any of them to be valued solely for what they provide for the mama bear or the research technician or any other self-serving individual. We want to protect these precious children from being recklessly created outside of the one-flesh union where they can be graded, tested, abandoned, and destroyed.

Things could be different. We could be proactive in applying theology to infertility medicine rather than reactive. We could intentionally teach and counsel couples to live life under the cross of barrenness rather than encourage them to try every possible means to overcome it. We could speak the truth in love that children are not a commodity to which we are entitled in this life but a gift which God in His wisdom gives and doesn’t give. We could be honest in the Church and admit that God has not promised in His Word to give the gift of children to everyone.

Maybe, just maybe, this kind of honesty spoken in love would help the barren mama bears cope a little better. I know it helps me.

Unanswered Prayer

Have you yet to receive a “yes” to your prayer for a child? Does it feel like God leaves your prayer unanswered?

Our Sunday school class has been studying prayer. This past Sunday, Pastor Schuermann drew our attention to this quote from Dr. Martin Luther on the problem of unanswered prayer:

It is not a bad sign, but a very good one, if things seem to turn out contrary to our requests. Just as it is not a good sign if everything turns out favorably for our requests.

The reason is that the excellence of God’s counsel and will are far above our counsel and will, as Isaiah 55:8-9 says:”For My thoughts are not your thoughts, neither are your ways My ways, says the Lord. For as the heavens are higher than the earth, so are My ways higher than your ways and My thoughts than your thoughts.” And Psalm 94:11: “The Lord knows the thoughts of men, that they are vain.” And Psalm 33:10: “The Lord brings the counsels of the nations to nought; He frustrates the plans of the peoples and casts away the counsels of princes.” Hence it results that when we pray to God for something, whatever these things may be, and He hears our prayers and begins to give us what we wish, He gives in such a way that He contravenes all of our conceptions, that is, our ideas, so that He may seem to us to be more offended after our prayers and to do less after we have asked than He did before. And He does all this because it is the nature of God first to destroy and tear down whatever is in us before He gives us His good things, as the Scripture says: “The Lord makes poor and makes rich, He brings down to hell and raises up” (1 Samuel 2:7).

By this His most blessed counsel He renders us capable of receiving His gifts and His works. And we are capable of receiving His works and His counsels only when our own counsels have ceased and our works have stopped and we are made purely passive before God, both with regard to our inner as well as our outward activities. This is what He means when He says: “My thoughts are not your thoughts, neither are your ways My ways” (Isaiah 55:8). Therefore, when everything is hopeless for us and all things begin to go against our prayers and desires, then those unutterable groans begin. And then “the Spirit helps us in our weakness” (Romans 8:26). For unless the Spirit were helping, it would be impossible for us to bear this action of God by which He hears us and accomplishes what we pray for. Then the soul is told: “Be strong, wait for the Lord, and let your heart take courage and bear up under God” (Psalm 27:14). And again: “Be subject to the Lord and pray to Him” “and He will act” (Psalm 37:7, 5). (Luther on Romans 8:26, AE 25:364-5)